PLACENTA

Position

Relation to cervical os

relationc eq 0}checked{/if}> clear

relationc eq 1}checked{/if}> covering

relationc != 1}style="display:none;"{/if}>

mm from os

Appearance

appearance eq 0}checked{/if}> Normal

appearance eq 1}checked{/if}> Abnormal

AMNIOTIC FLUID

fluid eq 0}checked{/if}> Normal

fluid eq 1}checked{/if}> Abnormal

FETAL MOVEMENT

movement eq 0}checked{/if}> Normal

movement eq 1}checked{/if}> Abnormal

MEASUREMENTS	mm	Percentile(References)
Biparietal diameter
Head circumference
Abdominal circumference
Femur diaphysis length
Other

Abnormal findings

Conclusion

conclusion eq 1}checked{/if}> Normal and complete examination

inconclusion eq 1}checked{/if}> Normal but incomplete examination

abconclusion eq 1}checked{/if}> Abnormal examination

pconclusion eq 1}checked{/if}> Plans

pconclusion neq 1}style="display:none;"{/if}>

plans eq 0}checked{/if}> No further ultrasound scans required

plans eq 1}checked{/if}> Follow up planned in plans neq 1}style="display:none;"{/if} id="weeks" placeholder="" data-id="{$ultrasoundDetail->id}" data-colName="weeks" data-tableName="ultrasounddetail" value="{$ultrasoundDetail->weeks}" style=" display: inherit; "> weeks

plans eq 2}checked{/if}> Referred to plans neq 2}style="display:none;"{else}style="display:inline;"{/if} id="refto" placeholder="" data-id="{$ultrasoundDetail->id}" data-colName="referred" data-tableName="ultrasounddetail" value="{$ultrasoundDetail->referred}">

plans eq 3}checked{/if}>

Other

plans neq 3}style="display:none;"{/if} id="otherptxt" placeholder="" data-id="{$ultrasoundDetail->id}" data-colName="oplans" data-tableName="ultrasounddetail" value="{$ultrasoundDetail->oplans}">

Other

SONOGRAPHIC APPEARANCE OF FETAL ANATOMY	Normal	Abnormal	Not visualized
Head
Shape	shape eq 0}checked{/if}> N	shape eq 1}checked{/if}> Ab	shape eq 2}checked{/if}> NV
Cavum septi pellucidi	cavum eq 0}checked{/if}> N	cavum eq 1}checked{/if}> Ab	cavum eq 2}checked{/if}> NV
Midline falx	falx eq 0}checked{/if}> N	falx eq 1}checked{/if}> Ab	falx eq 2}checked{/if}> NV
Thalami	thalami eq 0}checked{/if}> N	thalami eq 1}checked{/if}> Ab	thalami eq 2}checked{/if}> NV
Lateral ventricle	ventricle eq 0}checked{/if}> N	ventricle eq 1}checked{/if}> Ab	ventricle eq 2}checked{/if}> NV
Cerebellum	cerebellum eq 0}checked{/if}> N	cerebellum eq 1}checked{/if}> Ab	cerebellum eq 2}checked{/if}> NV
Cisterna magna	magna eq 0}checked{/if}> N	magna eq 1}checked{/if}> Ab	magna eq 2}checked{/if}> NV
Face
Upper lip	uLip eq 0}checked{/if}> N	uLip eq 1}checked{/if}> Ab	uLip eq 2}checked{/if}> NV
Median profile	profile eq 0}checked{/if}> N	profile eq 1}checked{/if}> Ab	profile eq 2}checked{/if}> NV
Orbits	orbits eq 0}checked{/if}> N	orbits eq 1}checked{/if}> Ab	orbits eq 2}checked{/if}> NV
Nose	nose eq 0}checked{/if}> N	nose eq 1}checked{/if}> Ab	nose eq 2}checked{/if}> NV
Nostrils	nostrils eq 0}checked{/if}> N	nostrils eq 1}checked{/if}> Ab	nostrils eq 2}checked{/if}> NV
Neck	neck eq 0}checked{/if}> N	neck eq 1}checked{/if}> Ab	neck eq 2}checked{/if}> NV
Thorax
Shape	thoraxshape eq 0}checked{/if}> N	thoraxshape eq 1}checked{/if}> Ab	thoraxshape eq 2}checked{/if}> NV
No mass	mass eq 0}checked{/if}> N	mass eq 1}checked{/if}> Ab	mass eq 2}checked{/if}> NV
Heart	heart eq 0}checked{/if}> N	heart eq 1}checked{/if}> Ab	heart eq 2}checked{/if}> NV
Heart activity	heartactivity eq 0}checked{/if}> N	heartactivity eq 1}checked{/if}> Ab	heartactivity eq 2}checked{/if}> NV
Size	hsize eq 0}checked{/if}> N	hsize eq 1}checked{/if}> Ab	hsize eq 2}checked{/if}> NV
Cardiac axis	haxix eq 0}checked{/if}> N	haxix eq 1}checked{/if}> Ab	haxix eq 2}checked{/if}> NV
Four-chamber view	chamberview eq 0}checked{/if}> N	chamberview eq 1}checked{/if}> Ab	chamberview eq 2}checked{/if}> NV
Left ventricular outflow	loutflow eq 0}checked{/if}> N	loutflow eq 1}checked{/if}> Ab	loutflow eq 2}checked{/if}> NV
Right ventricular outflow	routflow eq 0}checked{/if}> N	routflow eq 1}checked{/if}> Ab	routflow eq 2}checked{/if}> NV
Abdomen
Stomach	stomach eq 0}checked{/if}> N	stomach eq 1}checked{/if}> Ab	stomach eq 2}checked{/if}> NV
Bowel	bowel eq 0}checked{/if}> N	bowel eq 1}checked{/if}> Ab	bowel eq 2}checked{/if}> NV
Kidneys	kidney eq 0}checked{/if}> N	kidney eq 1}checked{/if}> Ab	kidney eq 2}checked{/if}> NV
Urinary bladder	bladder eq 0}checked{/if}> N	bladder eq 1}checked{/if}> Ab	bladder eq 2}checked{/if}> NV
Abdominal cord insertion	cordinsertion eq 0}checked{/if}> N	cordinsertion eq 1}checked{/if}> Ab	cordinsertion eq 2}checked{/if}> NV
Cord vessels	cordvessels eq 0}checked{/if}> N	cordvessels eq 1}checked{/if}> Ab	cordvessels eq 2}checked{/if}> NV
Spine	spine eq 0}checked{/if}> N	spine eq 1}checked{/if}> Ab	spine eq 2}checked{/if}> NV
Limbs
Right arm (incl. hand)	rarm eq 0}checked{/if}> N	rarm eq 1}checked{/if}> Ab	rarm eq 2}checked{/if}> NV
Right leg (incl. foot)	rleg eq 0}checked{/if}> N	rleg eq 1}checked{/if}> Ab	rleg eq 2}checked{/if}> NV
Left arm (incl. hand)	larm eq 0}checked{/if}> N	larm eq 1}checked{/if}> Ab	larm eq 2}checked{/if}> NV
Left leg (incl. foot)	lleg eq 0}checked{/if}> N	lleg eq 1}checked{/if}> Ab	lleg eq 2}checked{/if}> NV
Gender gender eq 0}checked{/if}>M gender eq 1}checked{/if}>F	gendern eq 0}checked{/if}> N	gendern eq 1}checked{/if}> Ab	gendern eq 2}checked{/if}> NV

Ultrasound scan

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